解放军医学院学报2017，Vol.38Issue(3)：217-220,4.DOI:10.3969/j.issn.2095-5227.2017.03.008
术中硬膜下置管防治椎管术后并发症的临床疗效观察
Subarachnoid catheter placement for continuous cerebrospinal fluid drainage during the intravertebral operations in prevention of postoperative complication
卢乐年 1陶本章 2尚爱加 2汪翔 1许小兵 1佟怀宇 2乔广宇2
作者信息
- 1. 南方医科大学顺德医院 神经外科,广东佛山 528300
- 2. 解放军总医院 神经外科,北京 100853
- 折叠
摘要
Abstract
Objective To study the clinical efficacy of subarachnoid continuous drainage placed in the intravertebral operations for prevention of postoperative complication. Methods The clinical data of 104 patients who underwent subarachnoid lesion resection in Neurosurgery Department of Chinese PLA General Hospital from January 2015 to June 2016 were retrospectively analyzed. These patients were divided into observation group (48 cases) and control group (56 cases) according to whether subarachnoid continuous drainage was placed during the operation or not. Complications including fever and cerebrospinal fluid leakage, the indwelling time, healing condition of surgical incisions and the postoperative hospital stay were collected and analyzed. Results Five cases in observation group got fever as compared with 8 cases in control group (P > 0.05). There were no significant difference in occurrence of poor wound healing (3 in observation group vs 6 cases in control group), cerebrospinal fluid leak (3 in observation group vs 8 cases in control group), and total complications (11 in observation group vs 21 cases in control group)(P > 0.05, respectively). The drainage duration of (3.5±2.5) days vs (5.8±3.4) days, the postoperative hospital stay of (5.3±2.4) days vs (8.2±3.6) days between the two groups showed statistically significant differences, respectively (P < 0.05). The drainage catheters were successfully placed in all the patients of observation group. Despite of existed short-term complications, no permanent neural function damage was found. Conclusion Subarachnoid continuous drainage placement in the operation is safe and feasible. It can be an effective method to prevent cerebrospinal fluid leakage after operation of subarachnoid lesion resection and promote healing of the surgical incisions.关键词
硬膜下引流/椎管手术/脑脊液漏/手术并发症/临床疗效Key words
subarachnoid continuous drainage/intravertebral operation/cerebrospinal fluid leakage/surgery complications/clinical efficacy分类
医药卫生引用本文复制引用
卢乐年,陶本章,尚爱加,汪翔,许小兵,佟怀宇,乔广宇..术中硬膜下置管防治椎管术后并发症的临床疗效观察[J].解放军医学院学报,2017,38(3):217-220,4.
